Roche ACCU-CHEK Spirit Step-By-Step Manual
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Roche ACCU-CHEK Spirit Step-By-Step Manual

Roche ACCU-CHEK Spirit Step-By-Step Manual

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INSULIN PUMP
Step by Step Guide

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  • Page 1 INSULIN PUMP Step by Step Guide...
  • Page 2 The Accu-Chek Spirit at a Glance Display Menu key Up key Down key Check key Infusion set Adapter Cartridge Vents Battery Adapter Seal inside the adapter Seal outside the adapter Battery cover Battery key Seal...
  • Page 3 Step by Step Guide Step by Step Guide Thank you for your decision to use the Accu-Chek Spirit insulin pump in the management of your diabetes. We are confident that you will find it easy to use and reliable in your daily activities. Use this Step by Step Guide to help set up your pump and prepare you for using it daily.

  • Page 5: Before You Begin

    Your values may differ. Do not make any therapy choices based on the values in this guide. ➨ Before using a new Accu-Chek Spirit insulin pump, always check your personal settings before use in order to avoid incorrect insulin delivery. Record your personal settings from your current insulin pump and ensure that they are correctly programmed into a new Accu-Chek Spirit insulin pump.

  • Page 7: The Accu-Chek Spirit Insulin Pump

    The Accu-Chek Spirit pump The Accu-Chek Spirit insulin pump Keys and key combinations The use of your insulin pump requires the use of four keys and three key combinations. Each key or key combination has a specific function: Name Function...
  • Page 8 The Accu-Chek Spirit pump A plus symbol (+) connecting 2 key functions means that both keys must be pressed down simultaneously: Key Combination Name Function Menu and Up exit a menu or function and information screens loop backward in the menu structure...

  • Page 9: Alarm Signals

    The Accu-Chek Spirit pump Alarm signals Your insulin pump communicates the alerts and errors using beeps and vibrations. You can turn off either the beeps or the vibrations, but not both at the same time for the initial alarm signal.
  • Page 10 The Accu-Chek Spirit pump Exit options At any function screen you have three options to exit: 1) if you want to confirm and save the changes press f until your insulin pump returns to the RUN screen. 2) if you want to undo the changes...

  • Page 11: Getting Started

    Getting started Getting started Inserting the battery The following instructions are written with the assumption that the insulin pump has never been used. Your insulin pump turns on as soon as you insert the battery. When you remove the battery, your insulin pump keeps track of the time and date for approximately 1 hour.

  • Page 12: Start-Up Procedure

    Getting started Start-up procedure Your insulin pump performs a start-up procedure (internal tests) when you insert a battery and when you change the cartridge. When the battery is changed the entire start-up procedure will be performed. When only changing the cartridge, the start-up procedure will begin at the SELF-TEST step.
  • Page 13 Getting started The display shows a pattern. Check that the pattern is uniform. The display turns black. Check that the display is completely black. Additionally, you will see a QUICK INFORMATION screen. This is data that is set by you or your physician with the Accu-Chek pump programming software.

  • Page 14: Filling The Cartridge

    Getting started Filling the cartridge To fill a cartridge, have the following materials ready: 3.15 ml plastic cartridge with protective cap, plunger rod and filling needle cartridge plunger rod plunger cartridge protective cap filling needle with protective cap insulin at room temperature to minimize formation of air bubbles.
  • Page 15 Getting started Place the filling needle with protective cap onto the cartridge tip and make sure the connection is tight. Move the plunger rod twice back and forth in the cartridge to distribute the lubricant. Pull the plunger back to fill the cartridge with air.
  • Page 16 Getting started While holding steady pressure against the plunger rod with your thumb, invert the insulin vial so that the fill- ing needle and cartridge are pointing upwards into the insulin vial. Make sure that the tip of the filling needle stays in the insulin.
  • Page 17 This flush fit provides an additional safety measure to prevent the free flow of insulin and minimizes the occlusion volume. Have the following materials ready: A filled 3.15 ml Roche Diagnostics plastic cartridge with a luer connection cartridge plunger rod...
  • Page 18 Push the adapter onto the cartridge tip as far as to the stop (a). Luer-lock connector Carefully prepare a new Roche Diagnostics infusion set for use. Insert your infusion set according to its instructions for use. Hold the adapter and twist the infusion set by hand clockwise into the adapter (b).
  • Page 19 Getting started Make sure your insulin pump is in STOP. Press d to move to the CHANGE THE CARTRIDGE menu. Select with f. Remove the current cartridge, if necessary. Press and hold f (for 3 seconds) until you hear a melody. Your insulin pump starts to return the piston rod.
  • Page 20 Getting started Position your insulin pump upright (with the adapter pointing upwards). Insert the cartridge into the cartridge compartment. Twist (do not push) the adapter clockwise until it sits flush with the cartridge compartment. It is not necessary to apply pressure as the twisting will properly position the cartridge.
  • Page 21 Getting started Changing the cartridge Make sure your insulin pump is in STOP. Press d to move to the CHANGE THE CARTRIDGE menu. Select with f. Hold the insulin pump upright and gently turn the cartridge counter clockwise to remove the cartridge.
  • Page 22 Getting started How to prime the infusion set During the priming process your insulin pump should be positioned upright, with the adapter pointing upwards so as to maximize the removal of air bubbles from the cartridge and the infusion set. If not already there place your insulin pump into STOP and press d to move to the PRIME THE INFUSION SET menu.
  • Page 23 Getting started Stop priming The priming process can be stopped at any time by pressing any key. Your insulin pump returns to the STOP screen. Quick info screen With the press of the f key, your insulin pump will display the remaining cartridge content in units and the programmed insulin concentration.

  • Page 25: Selecting A User Menu

    Selecting a user menu Selecting a user menu The Accu-Chek Spirit has three user menus to select from. The user menu that you choose will allow you to have as many, or as little, choices in your pump therapy. Your menu selection may change at any time.
  • Page 26 Selecting a user menu Press d to move to the SELECT USER MENU. Select with f. The current user menu is displayed. Press a or s to select the desired user menu. Confirm with f. The newly selected basal rate profile and its daily insulin total appear.

  • Page 27: Setting Time And Date

    – press f. Your insulin pump returns to the RUN screen. if you want to undo the changes – wait for your Accu-Chek Spirit to return to the RUN screen (timeout), or – press d+a simultaneously (exit feature) to exit the...

  • Page 28: Programming Your Basal Rate Profile

    (U/h), is called the basal rate and is calculated to meet your basic insulin needs. An Accu-Chek Spirit basal rate profile consists of up to 24 different hourly basal rates. Each hourly rate may be changed independently. The sum of all 24 hourly basal rates in one basal rate profile is called the (daily) basal rate total.
  • Page 29 Press f again. Your insulin pump returns to the RUN screen. if you want to undo the changes – wait for your Accu-Chek Spirit to return to the RUN screen (timeout), or – press d+ a simultaneously (exit feature) to exit the function screen.
  • Page 30 Selecting a user menu Press a+ s simultaneously. A special beep confirms that you are pressing the keys correctly. The same hourly basal rate is copied to the next hour or hours, if you press a+ s repeatedly. Press and hold a+ s (scroll) to copy the same hourly basal rate for multiple hours.

  • Page 31: Basal Rate Profiles

    Selecting a user menu Basal rate profiles Your insulin pump offers the option of delivering up to five h different basal rate profiles in order to easily meet changing insulin needs. Setting an additional basal rate profile 1. Make sure the PROGRAM BASAL RATE PROFILE menu to be set is turned on (custom or advanced user menus).
  • Page 32 Selecting a user menu Selecting a basal rate profile Make sure the CHANGE BASAL RATE PROFILE menu is turned on (custom or advanced user menus). Press d to move to the CHANGE BASAL RATE PROFILE menu. Select with f. The current basal rate profile is displayed. Only basal rate profiles that are accessible in your current user menu are available.

  • Page 33: Start Insulin Delivery

    Selecting a user menu Start insulin delivery Insulin delivery starts at the moment you put your insulin pump into RUN. Start from the STOP screen. Press d to move to the START YOUR ACCU-CHEK menu. Confirm with f. Your insulin pump shows the RUN screen.
  • Page 34 Selecting a user menu Standard bolus Your insulin pump offers you two possibilities to program a Standard bolus: «Quick» Standard bolus «Scroll» Standard bolus using the keys of your menu-guided using the insulin pump, with bolus increments keys with the keys for determined by the user programming of the amount...
  • Page 35 Selecting a user menu «Quick» Standard bolus The following programming sequence involves only the a and s keys of your insulin pump. The sequence is «reversible», meaning you can start with either key. The recommended sequence is always described with the first key appearing (without parenthesis), e.g. a. For the alter- native sequence press the key in the parenthesis, e.g.
  • Page 36 Selecting a user menu Program a «Quick» Standard bolus From the RUN screen press and hold s (a) until you hear a beep sequence and feel a vibration. This activates the «Quick» STANDARD BOLUS function. Press a (s) repeatedly until the desired bolus amount is reached.
  • Page 37 Selecting a user menu How to cancel a «Quick» standard bolus - during programming (the bolus amount blinks): • Press the key you started programming with [s (a)] to reset the bolus amount to 0.0 units. If no new bolus is programmed, your insulin pump returns to the RUN screen and beeps three times after 5 seconds h.
  • Page 38 Selecting a user menu Program a «Scroll» Standard bolus The bolus increments for the «Scroll» Standard bolus are fixed to 0.1 unit. You can program this bolus in the STANDARD BOLUS menu by holding the a or s key (scrolling) until the desired bolus amount is displayed. Press d to move to the STANDARD BOLUS menu.

  • Page 39: Extended Bolus

    Selecting a user menu To cancel a «Scroll» Standard bolus – during programming (the bolus amount blinks): You have three options for cancelling a «Scroll» Standard bolus during programming: • If you do not press any key for 20 seconds h, your insulin pump returns to the RUN screen (timeout).
  • Page 40 Selecting a user menu Program an extended bolus Press d to move to the EXTENDED BOLUS menu. Select with f. The BOLUS AMOUNT screen appears. Press a to increase or s decrease the bolus amount. The bolus duration of the last Extended bolus delivered appears, or when using your insulin pump for the first time, a default value appears.
  • Page 41 Selecting a user menu Note At any function screen you have three options to exit: if you want to deliver the bolus – press f. Your insulin pump returns to the RUN screen. if you want to cancel the bolus –...

  • Page 42: Multiwave Bolus

    Selecting a user menu To cancel an Extended bolus – during programming (the bolus amount or bolus duration blinks): You have three options for cancelling an Extended bolus during programming: • If you do not press any key for 20 seconds h, your insulin pump returns to the RUN screen (timeout).
  • Page 43 Selecting a user menu Press d to move to the MULTIWAVE BOLUS menu. Select with f. The BOLUS AMOUNT screen appears. Press a or s to increase or decrease the total bolus amount. With the first press of the a key, the bolus duration of the last MultiWave bolus appears, or when using your insulin pump for the first time, a default value appears.
  • Page 44 Selecting a user menu Note Press d to loop between programming the total bolus amount, immediate bolus amount and extended bolus duration, if necessary. • Check the total and immediate bolus amounts and the extended bolus duration programmed on the display. The set values can be viewed in the total bolus amount, immediate bolus and bolus duration screen.
  • Page 45 • Set the total bolus amount to 0.0 units and press f. - during the start delay ( blinks): • Press s or a. Your Accu-Chek Spirit beeps and vibrates. Your insulin pump returns to the RUN screen. An alert A8: BOLUS CANCELLED occurs. Press f twice to confirm and turn off the alert.

  • Page 46: Programming A Temporary Basal Rate (Tbr)

    Selecting a user menu Programming a temporary basal rate (TBR) Your insulin pump allows you to temporarily increase or decrease your basal rate. This function is helpful in matching changing insulin needs due to increased or decreased activity level, illness or stress. Typically, a basal rate is set to 100 %, but you can increase it to 250 % h decrease it to 0 % for up to 24 hours h...
  • Page 47 Selecting a user menu Press a or s to correct and set the duration. Note Press d to loop between programming the basal rate percentage and duration, if necessary. Save and exit with f. The programmed temporary basal rate is immediately activated.
  • Page 48 Selecting a user menu How to cancel a temporary basal rate – during programming: You have three options for cancelling a temporary basal rate during programming: • If you do not press any key for 20 seconds h, your insulin pump returns to the RUN screen (timeout).
  • Page 49 Selecting a user menu Reviewing data memory The data memory of your insulin pump enables you to review specific events such as: • Bolus history last 30 boluses • Alarm history last 30 alerts and errors • History of daily insulin totals last 30 daily totals of insulin delivered •...
  • Page 50 Selecting a user menu Press d to move to the INFORMATION menu. Select with f. The BOLUS HISTORY screen appears. The most recent bolus information is displayed. Press a or s to review the entries. Exit with f. Review the alarm history The alarm history enables you to review the last 30 alerts or errors start- ing with the most recent entry in chronological order.
  • Page 51 Selecting a user menu Review the history of daily insulin totals This history enables you to review the last 30 daily totals of insulin delivered (from midnight to midnight; basal rate plus boluses) starting with the most recent entry in chronological order. Each daily insulin total screen displays the following history •...
  • Page 52 Selecting a user menu Review the temporary basal rate history The temporary basal rate history enables you to review the last 30 TBR increases or decreases starting with the most recent entry in chronological order. Each TBR history screen displays the •...
  • Page 53 This timer counts the number of days of operation remaining in the Accu-Chek Spirit insulin pump. Before the pump timer expires, an alert occurs to remind you of the upcoming end of operating time so that you can make the necessary arrangements.

  • Page 54: Changing The Battery

    Selecting a user menu Changing the battery Place the insulin pump in STOP. Use the Accu-Chek Spirit battery key to remove the battery cover. Insert a AA alkaline battery with the negative end going into the pump. Replace the battery cover.

  • Page 55: Standard Menu

    Standard MENU Standard MENU For all Standard Menu settings the Accu-Chek Spirit can save or exit using the same simple method. For all of the features in this section you may do the following when you are finished. 1) if you want to confirm and save the changes press f until your insulin pump returns to the RUN screen.
  • Page 56 Standard MENU Unlock the KeyLock From the RUN screen or STOP screen, press d+s simultaneously (you hear three beeps in RUN, respectively one beep in STOP) and hold for 3 seconds until you hear again three beeps (in RUN), respectively one beep (in STOP) to confirm that the KeyLock has been unlocked.
  • Page 57 Save and exit with f. Alarm signals The Accu-Chek Spirit allows you to choose how you want your pump to alert you when an alarm occurs. You have three options: beep only vibrate only beeps and vibrate Press d to move to the SETUP MENU STANDARD menu.
  • Page 58 Standard MENU Automatic off Automatic off is a safety feature which stops all insulin delivery by triggering an error E3: AUTOMATIC OFF if no keys are pressed within a programmed time period in RUN. The automatic off can either be set to OFF or programmed up to 24 hours in 1 hour intervals in the SETUP MENU STANDARD menu.
  • Page 59 Standard MENU Battery type Your insulin pump has the option of using 1.5 volt AA batteries or rechargeable AA NiMH batteries. If you change from one battery type to the other, you must change the battery type accordingly in the SETUP MENU STANDARD menu.
  • Page 60 Standard MENU Display orientation Your insulin pump allows you to flip the display orientation by 180° so that you can view it more conveniently depending on how you are wearing the insulin pump. Press d to move to the SETUP MENU STANDARD menu.

  • Page 61: Advanced Menu

    Advanced MENU Advanced MENU Alarm clock The alarm clock can be set for a single alarm and for multiple alarms. Multiple alarms are repeated every day. These alarms may be utilized to remind you of blood glucose testing or other important personal events. Set single or multiple alarms Make sure the ALARM CLOCK menu is turned on.
  • Page 62 Advanced MENU To turn off the alarm clock When the alarm clock goes off, an alert A4: ALARM CLOCK occurs. Press f twice to confirm and turn off the alert. Time format The time can be set in the following formats: European: 24-hour clock (00:00-23:59), e.g.
  • Page 63 Advanced MENU Date format The date can be set in the following formats: European: dd.mm.yyyy, e.g. 26.04.06 American: mm/dd/yyyy, e.g. 04/26/06 Make sure the SETUP MENU ADVANCED is turned on. Press d to move to the SETUP MENU ADVANCED. Select with f. Press d to move to the DATE FORMAT screen.
  • Page 64 Advanced MENU Bolus increment The «Quick» Standard bolus is initially set to 0.5 units h per key press but can be changed in the SETUP MENU ADVANCED or by using Accu- Chek pump programming software to 0.1, 0.2, 0.5, 1.0 or 2.0 units. Make sure the SETUP MENU ADVANCED is turned on.
  • Page 65 Advanced MENU Prime quantity The prime quantity necessary to completely fill an infusion set depends on the length of the infusion set tubing and on the insulin concentration being used. The shorter your infusion set tubing, the less insulin that will be required to prime the infusion set.
  • Page 66 Advanced MENU Lock basal rate profiles Your insulin pump allows you to change your hourly basal rates as needed. This feature provides additional protection against accidentally changing a basal rate during normal operation. When this function is acti- vated, your hourly basal rates cannot be changed. Make sure the SETUP MENU ADVANCED is turned on.
  • Page 67 Advanced MENU Language Your insulin pump is programmed in several languages. To use the language of your choice, do the following: Make sure the SETUP MENU ADVANCED is turned on. Press d to move to SETUP MENU ADVANCED Select with f. Press d to move to the LANGUAGE screen.

  • Page 69: Alerts And Errors

    Alerts and errors Alerts and errors When your insulin pump is in use, a two microprocessor safety system continuously monitors and controls the insulin pump. Over 9 million safety checks are performed daily to secure all relevant functions. If your insulin pump detects a deviation of its normal state, an alert (warning instruction) or an error (error message) will occur.
  • Page 70 RUN, if desired. The following are a complete listing of the alerts and errors that you may receive on the Accu-Chek Spirit insulin pump. Consult your user’s guide for a complete overview and the correct actions for you to take.

  • Page 71: Alert Overview

    Replace the battery as soon as possible. REVIEW TIME AND DATE Set the time and date. ALARM CLOCK Put your Accu-Chek Spirit into RUN if necessary. PUMP TIMER In your INFORMATION Menu check for the insulin pump operation remaining under the menu PUMP TIMER.
  • Page 72 What you have to do CARTRIDGE EMPTY Change the cartridge. BATTERY DEPLETED Change the battery. AUTOMATIC OFF Put your Accu-Chek Spirit in RUN if necessary. OCCLUSION See the appropriate section in this manual for detailed information. END OF OPERATION Arrange for immediate replacement of your insulin pump.

  • Page 73: Troubleshooting

    Troubleshooting Troubleshooting This section describes some potential problems that may occur while using your Accu-Chek Spirit insulin pump. Problem Recommended Actions Individual characters, numbers or Contact your local Customer Care Area. symbols on the display are shown incompletely or not at all.
  • Page 74 Troubleshooting Problem Recommended Actions Air bubbles in the cartridge and/or In the cartridge: Disconnect the infusion infusion set site and re-prime your infusion set. Should the air bubbles remain, replace the cartridge. In your infusion set: Disconnect and prime your infusion set. Make sure all connections are tight and secure.

  • Page 75: Additional Questions

    Additional Questions For all additional questions and inquiries about your Accu-Chek Spirit insulin pump, please consult your Accu-Chek Spirit User's Guide for a complete overview.
  • Page 77 For a complete review of your insulin pump features as well as orientation the warnings and precautions associated with its use, please refer to your Accu-Chek Spirit Insulin pump user's guide. Your Insulin pump ADVANCED MENU KeyLock quick info...
  • Page 80 Mt. Wellington NZ-Auckland Phone +64 9 276 4157 +64 9 276 8917 www.extracare.co.nz ACCU-CHEK, ACCU-CHEK SPIRIT, ACCU-CHEK TENDERLINK, ACCU-CHEK FLEXLINK, ACCU-CHEK RAPIDLINK, DISETRONIC are trademarks of a Member of the Roche Group. Disetronic Medical Systems AG CH-3401 Burgdorf, Switzerland www.disetronic.com...

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